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. 2025 Jul 24;21(11):4762–4781. doi: 10.7150/ijbs.114907

Table 3.

Pharmacological moderators of MCs in DKD

Mediators or Agents Mechanisms Effects Reference(s)
BI-2536 Inhibiting PLK1 and NF-κB Lessening MCs proliferation, alleviating proteinuria, and safeguarding renal function 160
ApoC3 Increasing phosphorylation of NF-κB Exacerbating STZ-induced renal injury 75
Dihydromyricetin Inhibiting NF-κB activation by binding to sphingosine kinase-1 (SphK1) Mitigating HG-induced expression of fibrosis and inflammatory molecules in GMCs 161
Wogonin Blocking the TGF-β1/Smad3 signalling Ameliorating renal inflammation and fibrosis 162
Cell-permeable peptide Targeting NF-κB Easing proteinuria and renal lesions 163
Icariin Mediating p62-Dependent Keap1 Degradation and Nrf2 Activation Decreasing extracellular matrix accumulation in MCs 166
Eucommia lignans Mediating the AR/Nrf2/HO-1/AMPK axis Alleviating the progression of diabetic nephropathy 165
β-Caryophyllene Activating the Nrf2/HO-1 pathway Decreasing HG-induced oxidative stress in MCs 167
Ampelopsin Activating the Nrf2/HO-1 pathway Inhibiting HG-induced extracellular matrix accumulation and oxidative stress in MCs 164
MCC950 Inhibiting of the NLPR3/caspase-1/IL-1β pathway Protecting renal function by attenuating rat MCs line HBZY-1 fibrosis 168
Epiberberine Disrupting the Agt-TGF-β/Smad2 pathway Limiting MCs proliferation and hypertrophy, and ultimately ameliorating kidney damage in db/db mice 169
Osthole Reducing TGF-β1/Smads signaling pathway activation Inhibiting HBZY-1 hypertrophy, ROS production and ECM deposition 170
EW-7197 Inhibiting of TGF-β signaling Attenuating fibrosis and inflammation in MCs 171
Liposomal puerarin Reducing HG-induced TGF-β expression and Smad 2/3 nuclear translocation in RMCs Protecting mesangial cells 172
Pyrrole-imidazole (PI) polyamides Targeting TGF-β1 Alleviating proteinuria and glomerular pathological changes 173
USF1 PI polyamide Restricting the expression of TGF-β1 Minimizing impaired renal function 174
Viral mimetic nanoparticles (NPs) encapsulated with cinaciguat Regulating soluble guanylate cyclase (sGC) activity and 3′, 5′-cyclic guanosine monophosphate (cGMP) generation Inhibiting MC proliferation and matrix accumulation 176
Resveratrol Inhibiting PDE4D/PKA signaling pathway Inhibiting oxidative stress and Drp1-mediated mitochondrial fission in diabetic renal MCs 199
Tilapia Skin Peptides Activating the Bnip3/Nix signaling Enhancing mitochondrial autophagic activity, scavenging damaged mitochondria in GMCs 177